Abstract：
BACKGROUND: Decision-making in dentistry is a complex process, and this study evaluated factors that influence dentists\' approaches in permanent mature teeth with irreversible pulpitis.
METHODS: An online questionnaire was distributed to a group of dental practitioners. The questionnaire surveyed dentists\' opinions about the management of vital permanent teeth with irreversible pulpitis including a case scenario.
RESULTS: Data from 262 respondents were analysed. Barriers to perform vital pulp therapy (VPT) included presuming it an inappropriate long-term treatment (29.7%), lack of knowledge, insufficient access to materials, inadequate training and lack of confidence. Patient\'s preference (79.44%) and tooth restorability (91%) were the most frequently reported factors influencing treatment decisions. Dentists aged 25-35 years and who have 1-5 years of experience ranked extraction as a more successful treatment (P = 0.008; P = 0.003, respectively). Non-Australian graduates ranked pulpotomy to be a more successful procedure (P = 0.007), and public sector/hospital practitioners favoured extraction more than practitioners from other sectors (P = 0.003). Postgraduates/specialists preferred pulpotomy (P = 0.012) more than general dentists. Participants\' clinical approaches for the management of symptomatic irreversible pulpitis: root canal treatment (45.0%), indirect pulp capping (22.9%), direct pulp capping (15.8%), pulpotomy (17.1%) and extraction (6.3%).
CONCLUSIONS: Female, more experienced, overseas-educated dentists and endodontists preferred VPT for irreversible pulpitis in permanent mature teeth more than other participants. © 2024 Australian Dental Association.
METHODS: An online questionnaire was distributed to a group of dental practitioners. The questionnaire surveyed dentists\' opinions about the management of vital permanent teeth with irreversible pulpitis including a case scenario.
RESULTS: Data from 262 respondents were analysed. Barriers to perform vital pulp therapy (VPT) included presuming it an inappropriate long-term treatment (29.7%), lack of knowledge, insufficient access to materials, inadequate training and lack of confidence. Patient\'s preference (79.44%) and tooth restorability (91%) were the most frequently reported factors influencing treatment decisions. Dentists aged 25-35 years and who have 1-5 years of experience ranked extraction as a more successful treatment (P = 0.008; P = 0.003, respectively). Non-Australian graduates ranked pulpotomy to be a more successful procedure (P = 0.007), and public sector/hospital practitioners favoured extraction more than practitioners from other sectors (P = 0.003). Postgraduates/specialists preferred pulpotomy (P = 0.012) more than general dentists. Participants\' clinical approaches for the management of symptomatic irreversible pulpitis: root canal treatment (45.0%), indirect pulp capping (22.9%), direct pulp capping (15.8%), pulpotomy (17.1%) and extraction (6.3%).
CONCLUSIONS: Female, more experienced, overseas-educated dentists and endodontists preferred VPT for irreversible pulpitis in permanent mature teeth more than other participants. © 2024 Australian Dental Association.
摘要：
背景：牙科决策是一个复杂的过程，这项研究评估了影响牙科医生治疗不可逆牙髓炎的恒牙成熟牙的方法的因素。
方法：向一组牙科医生分发了一份在线问卷。问卷调查了牙医对患有不可逆牙髓炎的重要恒牙的管理的意见，包括一个病例。
结果：分析了262名受访者的数据。进行重要牙髓治疗（VPT）的障碍包括假定它是不适当的长期治疗（29.7％），缺乏知识,材料获取不足，训练不足，缺乏自信。患者的偏好（79.44%）和牙齿可修复性（91%）是影响治疗决策的最常见因素。25-35岁，有1-5年经验的牙医将拔牙列为更成功的治疗方法（分别为P=0.008；P=0.003）。非澳大利亚毕业生将牙髓切除术列为更成功的手术（P=0.007），公共部门/医院从业人员比其他部门的从业人员更喜欢提取(P=0.003)。研究生/专家比普通牙医更喜欢牙髓切除术（P=0.012）。参与者治疗有症状的不可逆性牙髓炎的临床方法：根管治疗（45.0％），间接盖浆（22.9%），直接盖浆(15.8%)，牙髓切除术（17.1%）和拔除术（6.3%）。
结论：女性，更有经验,与其他参与者相比，受过海外教育的牙医和牙髓医生更喜欢VPT治疗恒牙不可逆牙髓炎。©2024澳大利亚牙科协会。
方法：向一组牙科医生分发了一份在线问卷。问卷调查了牙医对患有不可逆牙髓炎的重要恒牙的管理的意见，包括一个病例。
结果：分析了262名受访者的数据。进行重要牙髓治疗（VPT）的障碍包括假定它是不适当的长期治疗（29.7％），缺乏知识,材料获取不足，训练不足，缺乏自信。患者的偏好（79.44%）和牙齿可修复性（91%）是影响治疗决策的最常见因素。25-35岁，有1-5年经验的牙医将拔牙列为更成功的治疗方法（分别为P=0.008；P=0.003）。非澳大利亚毕业生将牙髓切除术列为更成功的手术（P=0.007），公共部门/医院从业人员比其他部门的从业人员更喜欢提取(P=0.003)。研究生/专家比普通牙医更喜欢牙髓切除术（P=0.012）。参与者治疗有症状的不可逆性牙髓炎的临床方法：根管治疗（45.0％），间接盖浆（22.9%），直接盖浆(15.8%)，牙髓切除术（17.1%）和拔除术（6.3%）。
结论：女性，更有经验,与其他参与者相比，受过海外教育的牙医和牙髓医生更喜欢VPT治疗恒牙不可逆牙髓炎。©2024澳大利亚牙科协会。
